People at higher risk to be infected with hepatitis A virus include those that use illegal drugs, men who have sex with men, people who live with individuals that have the disease, and people who travel to developing countries.

Hepatitis A virus can be transmitted to others by contaminated stools (feces), foods prepared by an infected person, contaminated water, and close personal contact (for example, touching hands, sex), with an infected person but not by sneezing, cough, hugging (without skin contact) or by being near an infected person.

Some young infected individuals may have no symptoms. In other infected individuals symptoms of hepatitis A may include flu-like symptoms such as tiredness, stomach discomfort, fever, decreased appetite, and diarrhea; light-colored stools; more specific symptoms include dark yellow urine, and jaundice (white of eyes and skin become yellowish).

Hepatitis A is diagnosed by commonly available blood tests

Hepatitis A resolves in most patients in a few weeks without treatment; a doctor may prescribe medications to reduce symptoms.

Hepatitis A vaccine can help protect against the disease; two shots are required, but some protection begins even after the first shot; the shots do not protect individuals against other hepatitis-causing viruses (types B, C and others).

Hepatitis A immune globulin may protect some people if administered shortly after initial exposure to the virus; research is ongoing to produce other treatments

What is hepatitis A?

Hepatitis A is a virus, or infection, that causes liver disease and inflammation of the liver. Viruses can cause sickness. For example, the flu is caused by a virus. People can pass viruses to each other.

Inflammation is swelling that occurs when tissues of the body become injured or infected. Inflammation can cause organs to not work properly.

How could I get hepatitis A?

You could get hepatitis A through contact with an infected person’s stool. This contact could occur by

eating food made by an infected person who didn’t wash his or her hands after using the bathroom

drinking untreated water or eating food washed in untreated water

placing a finger or object in your mouth that came into contact with an infected person’s stool

having close personal contact with an infected person, such as through sex or caring for someone who is ill

You cannot get hepatitis A from

being coughed or sneezed on by an infected person

sitting next to an infected person

hugging an infected person

A baby cannot get hepatitis A from breast milk.

What are the symptoms of hepatitis A?

Most people do not have any symptoms of hepatitis A. If symptoms of hepatitis A occur, they include

feeling tired

muscle soreness

upset stomach

fever

loss of appetite

stomach pain

diarrhea

dark-yellow urine

light-colored stools

yellowish eyes and skin, called jaundice

Symptoms of hepatitis A can occur 2 to 7 weeks after coming into contact with the virus. Children younger than age 6 may have no symptoms. Older children and adults often get mild, flulike symptoms. See a doctor right away if you or a child in your care has symptoms of hepatitis A.

How is hepatitis A diagnosed?

A blood test will show if you have hepatitis A. Blood tests are done at a doctor’s office or outpatient facility. A blood sample is taken using a needle inserted into a vein in your arm or hand. The blood sample is sent to a lab to test for hepatitis A.

How is hepatitis A treated?

Hepatitis A usually gets better in a few weeks without treatment. However, some people can have symptoms for up to 6 months. Your doctor may suggest medicines to help relieve your symptoms. Talk with your doctor before taking prescription and over-the-counter medicines.

See your doctor regularly to make sure your body has fully recovered. If symptoms persist after 6 months, then you should see your doctor again.

When you recover, your body will have learned to fight off a future hepatitis A infection. However, you can still get other kinds of hepatitis.

How can I avoid getting hepatitis A?

You can avoid getting hepatitis A by receiving the hepatitis A vaccine.

Vaccines are medicines that keep you from getting sick. Vaccines teach the body to attack specific viruses and infections. The hepatitis A vaccine teaches your body to attack the hepatitis A virus.

The hepatitis A vaccine is given in two shots. The second shot is given 6 to 12 months after the first shot. You should get both hepatitis A vaccine shots to be fully protected.

All children should be vaccinated between 12 and 23 months of age. Discuss the hepatitis A vaccine with your child’s doctor.

Adults at higher risk of getting hepatitis A and people with chronic liver disease should also be vaccinated.

If you are traveling to countries where hepatitis A is common, including Mexico, try to get both shots before you go. If you don’t have time to get both shots before you travel, get the first shot as soon as possible. Most people gain some protection within 2 weeks after the first shot.

You can also protect yourself and others from hepatitis A if you

always wash your hands with warm, soapy water after using the toilet or changing diapers and before fixing food or eating

use bottled water for drinking, making ice cubes, and washing fruits and vegetables when you are in a developing country